| NPI | 1588636377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY MARCROM Owner 931-728-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 243) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-12-21 |